Provider Demographics
NPI:1508499815
Name:GARABRANT, ABIGAIL (LCMHCA)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:GARABRANT
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 KIMBERLY DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-5418
Mailing Address - Country:US
Mailing Address - Phone:336-624-6362
Mailing Address - Fax:
Practice Address - Street 1:43 KIMBERLY DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-5418
Practice Address - Country:US
Practice Address - Phone:336-624-6362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-14
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA15544101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health